Treating Hallux Valgus Associated Metatarsus Adductus by Minimally Invasive Surgery: A Simple Solution for a Difficult Problem

Burg, Alon; Rutenberg, Tal Frenkel; Nyska, Meir; Ohana, Nissim; Segal, David; Palmanovich, Ezequiel

doi:10.1053/j.jfas.2022.01.027

Cited by 3 publications

(20 citation statements)

References 22 publications

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“…In 2 studies, a 100% satisfaction rate was reported. 3,14 A satisfaction rate higher than 90% was reported in 2 studies. 23,27 In addition, the satisfaction rate was higher than 80% in 3 studies, and in 2 studies the satisfaction rate was higher in the MIS group vs open surgery (Table 3).…”

Section: Clinical Outcomes: Aofas Score Vas Score and Satisfaction Ratementioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

“… 3 , 14 , 16 , 20 , 23 , 27 , 35 There were 3 studies that reported a satisfaction rate of >95% among their patients. 3 , 14 , 23 …”

Section: Discussionmentioning

confidence: 99%

“…A total of 7 studies included a satisfaction rate in their data, and all of them reported a >80% rate of satisfaction among their patients. 3,14,16,20,23,27,35 There were 3 studies that reported a satisfaction rate of >95% among their patients. 3,14,23 Recurrence is a common complication after hallux valgus, with a recent meta-analysis by Ezzatvar et al 7 finding a recurrence rate of 24.9% for open hallux valgus correction.…”

Section: Discussionmentioning

confidence: 99%

“…3,14,16,20,23,27,35 There were 3 studies that reported a satisfaction rate of >95% among their patients. 3,14,23 Recurrence is a common complication after hallux valgus, with a recent meta-analysis by Ezzatvar et al 7 finding a recurrence rate of 24.9% for open hallux valgus correction. Our review found a very low recurrence rate after MIS hallux valgus correction of 2.2% at an average follow-up of 23.8 months (range 12-59.1).…”

Section: Discussionmentioning

confidence: 99%

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Minimally Invasive Surgery Using a Shannon Burr for the Treatment of Hallux Valgus Deformity: A Systematic Review

Gonzalez

Encinas

Johns

et al. 2023

Foot & Ankle Orthopaedics

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Background: Recently there has been an increase in minimally invasive surgery (MIS) for the correction of hallux valgus deformity. This systematic review aims to evaluate and present the current literature on MIS hallux valgus correction in studies reporting the use of the Shannon burr with distal metatarsal osteotomies to help establish evidence-based guidelines for surgeons using this technique. Methods: Two independent authors performed a systematic literature search using the following databases: PubMed, Embase, and the Cochrane library. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) protocol and the Cochrane Handbook guidelines were followed. All studies included were published from 2008 to 2022 and included the use of the Shannon burr during distal metatarsal osteotomies MIS for hallux valgus and at least 12-month follow-up. The MINORS score criteria was used to evaluate the strength and quality of 17 studies by 3 authors. Statistical analysis and meta-analysis were not performed because of the heterogeneity of the included studies and the data being descriptive. Results: A total of 17 studies were reviewed. A total of 911 subjects were included, and 1088 MIS procedures were performed. The average follow-up was 23.8 (12-59.1) months. American Orthopaedic Foot & Ankle Society scale and visual analog scale scores improved from 52.1 (41-62.5) to 90.3 (83.3-97.1) and 4.9 (3-8.2) to 0.8 (0-1.9). Satisfaction rates were very high among the studies that reported it. The hallux valgus angle, intermetatarsal angle, and distal metatarsal articular angle improved from 31.4 (23.5-44.1) to 11.1 (7-17.2), 13.4 (8.1-18.6) to 7.3 (4.2-10.3), and 12.3 (9-16.3) to 4.1 (1-6.7), respectively. The complication rate was 16.6%, and recurrence was 2.2%. Nonunion comprised 0.4%, infections 1.1%, nerve injury 2.2%, avascular necrosis 0%, hallux varus 0.09%, transfer metatarsalgia 0.1%, and hardware removal 6.2%. Conclusion: MIS for the treatment of hallux valgus using the Shannon burr appears to be a safe and effective therapy, with appropriate correction of the hallux valgus deformity, improvement in functional outcomes, high patient satisfaction, low recurrence, and acceptable complication rates. Level of Evidence: Level II, systematic review.

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Section: Clinical Outcomes: Aofas Score Vas Score and Satisfaction Ratementioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

“… 3 , 14 , 16 , 20 , 23 , 27 , 35 There were 3 studies that reported a satisfaction rate of >95% among their patients. 3 , 14 , 23 …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Minimally Invasive Surgery Using a Shannon Burr for the Treatment of Hallux Valgus Deformity: A Systematic Review

Gonzalez

Encinas

Johns

et al. 2023

Foot & Ankle Orthopaedics

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Pes Adductus and Hallux Valgus

Palmanovich,

Nyska

2024

Foot and Ankle Clinics

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Treatment of Hallux Valgus with Metatarsus Adductus

Tung,

Eftekhari,

Miller

2023

Techniques in Foot &Amp; Ankle Surgery

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Metatarsus adductus is a common congenital foot deformity with an inward deviation of the forefoot occurring in the transverse plane of the foot. This article describes a minimally invasive approach using proximal metatarsal metaphyseal osteotomies to address the adduction of metatarsals at the tarsometatarsal joint complex. This approach offers possible advantages of minimally invasive surgery over open procedures in terms of outcomes, including lowered incidences of sagittal malunion, nonunion of the arthrodesis or metatarsal osteotomy, wound healing complications, and joint stiffness. Further research is warranted for the long-term outcomes of the procedure and how much of the deformity can be corrected. Level of Evidence: Level IV.

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Treating Hallux Valgus Associated Metatarsus Adductus by Minimally Invasive Surgery: A Simple Solution for a Difficult Problem

Cited by 3 publications

References 22 publications

Minimally Invasive Surgery Using a Shannon Burr for the Treatment of Hallux Valgus Deformity: A Systematic Review

Minimally Invasive Surgery Using a Shannon Burr for the Treatment of Hallux Valgus Deformity: A Systematic Review

Pes Adductus and Hallux Valgus

Treatment of Hallux Valgus with Metatarsus Adductus

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